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North Carolina rates for HCPCS 15738

Muscle, myocutaneous, or fasciocutaneous flap; lower extremity

Facilitymedian $4,169 · 10th–90th $1,230$8,3180%10%10th90th$4,169Professionalmedian $1,514 · 10th–90th $1,072$3,7150%10%20%10th90th$1,514$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $4,570.88 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,479.11 / $3,890.45
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,905.46 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,737.80 / $2,951.21
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,398.83
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,479.11 / $2,238.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $9,549.93 / $14,791.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,348.96 / $2,630.27
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $10,964.78 / $45,708.82
Wellcare
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$8,709.64 / $8,709.64 / $8,709.64
Wellcare
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,096.48
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,120.11 / $9,120.11 / $10,715.19